NPIMap

Individual provider Active NPI

Rias Ali, MD, FACC

  • Interventional Cardiology Physician
  • Holiday, FL
National Provider Identifier
1568401248
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME83454 Issued in FL
Practice address
4740 Mile Stretch Dr
Holiday, FL 34690-4331
Phone
(727) 943-5200
Fax
(727) 943-5201
NPI assigned
Jun 6, 2006
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME83454 FL
Interventional Cardiology Physician 207RI0011X ME83454 FL Primary

Addresses

Primary practice location

4740 Mile Stretch Dr
Holiday, FL 34690-4331

Mailing address

4740 Mile Stretch Dr
Holiday, FL 34690-4331
Phone (727) 943-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000190 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294777553 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Najam Javeed, M.D., PLLCGroup PAC ID 0941375653, 2 clinicians
Global Med and Eng Consulting LLCGroup PAC ID 0446723845, 3 clinicians

Practice addresses (Care Compare)

4740 Mile Stretch Dr
Holiday, FL 34690-4331
Phone (727) 943-5200

6208 Watkins Ave
Tampa, FL 33619-3844
Phone (248) 390-9609

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Cardiac Cath Lab LLC Interventional Cardiology CurrentSince Jan 3, 2016 Accepting new patients
Najam Javeed, M.D., PLLC CurrentSince Jul 1, 2012 Accepting new patients
Rias Ali MD PLLC Interventional Cardiology CurrentSince Jan 1, 2023 Accepting new patients
Port Charlotte Hma Physician Management LLC Internal Medicine Past Accepting new patients
Gulf Coast Hma Physician Management LLC Internal Medicine Past Accepting new patients
Trinity Ambulatory Surgical Center LLC PastSince Jun 24, 2016 Accepting new patients
Port Charlotte Hma Physician Management LLC Past Accepting new patients
Gulf Coast Hma Physician Management LLC Past Accepting new patients

Locations

4740 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 943-5200

11308 State Road 54
Ste A
Trinity, FL 34655
Phone (727) 639-3710

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rias.ali.1@12703.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1568401248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 MILE STRETCH DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346904331",
            "telephone_number": "727-943-5200",
            "fax_number": "727-943-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 MILE STRETCH DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346904331",
            "telephone_number": "727-943-5200",
            "fax_number": "727-943-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "RIAS",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83454",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME83454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.